Aquifer Medical Home

Aquifer Medical Home
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Aquifer Medical Home teaches complex topics that are critical to the effective delivery of care within the medical home model.


The American Academy of Pediatrics defines medical home as “primary care that is accessible, continuous, comprehensive, family-centered, coordinated, compassionate, and culturally effective.” Aquifer Medical Home encompasses in-depth teaching on interpersonal skills and communication, systems-based practice, professionalism, and the management of chronic illness.

  • Created for educators, by educators, to encompass the nationally accepted medical home curricula
  • Available free through June 30, 2023
  • In-depth focus on interpersonal skills, communication, systems-based practice, professionalism, and the management of chronic illness
  • A combination of cases, readings, and tools help students become familiar with these key concepts and translate their acquired skills to clinical practice
  • Proven pedagogy that standardizes experiences—overcoming geography, seasonality, and accessibility
  • Evidence-based, peer-reviewed, and continuously updated content
  • A wealth of source material, embedded assessment questions, and full references in each case
  • Delivered via the Aqueduct teaching and learning platform, which includes user management tools, easy reporting on student progress and course usage, plus tools for creating custom courses to match a specific curriculum

The cases in the Medical Home course provide opportunities for students to focus on issues of interpersonal skills, communication, systems-based practice, and professionalism in the context of providing care for children with complex medical problems. Students will learn how to apply the information to patient and family interactions, and to practice using the tools when caring for a patient.

While Aquifer Medical Home is designed to be effective for independent study, students may benefit from a combination of approaches to instruction. Educators are linking the course to other learning opportunities within the clinical curriculum, such as using cases as a common clinical encounter for discussion or creating assignments around the Questions for Further Reflection at the end of each case. While the cases focus on pediatric examples, the learning is extensible to other patient populations.

Medical Home 01: 16-year-old-female with status asthmaticus

Medical Home 02: 11-year-old-female with meningomyelocele

Medical Home 03: 2-year-old male with language delay

Medical Home 04: Newborn male with multiple congenital anomalies

Medical Home Lead

At the center of the medical home is the family-centered partnership between the provider, the patient, and the patient’s family or primary caregivers. Achieving this partnership requires thinking beyond the patient’s medical problems.

Aquifer Oral Presentation Skills

Aquifer Oral Presentation Skills

Aquifer Oral Presentation Skills contains materials and exercises designed to develop excellent oral presentation skills, a critical communication tool for all health care providers. It is available for free for all teachers and learners. 


The development of outstanding oral presentation skills is one of the most important aspects of clinical training. Communication skills are integral to providing quality patient care. Furthermore, a good oral case presentation goes beyond simple transmission of information. It should provide the audience with insight into the presenter’s thought process and, indirectly, skill as a clinician. This course will discuss the components of an excellent oral presentation, with opportunities to practice each.

Modules Proven to be as Effective as In-person Teaching

The study published by Colin M. Sox, MD, MS, “Efficacy of a Web-Based Oral Case Presentation Instructional Module: Multicenter Randomized Controlled Trial”, in the January 2018 issue of Academic Pediatrics, reveals that the quality of oral presentations delivered by students who completed the Aquifer course did not differ from those who participated in faculty-led feedback sessions. Learn more…

Students often struggle with expectations regarding oral case presentations. In one study comparing the perceived expectations of third-year medical students and their preceptors, students “described and conducted the presentation as a rule-based, data-storage activity governed by order and structure”. Preceptors, on the other hand, viewed the presentation as a “flexible means of communication and a method for constructing the details of a case into a diagnostic or therapeutic plan.” [Haber RJ, Lingard LA. J Gen Int Med. 2001; 16(5):308]

Therefore, while certain rules are universal, the definition of a “good” oral presentation will depend on the situation. The complete oral presentation that you might give to a teaching attending in a classroom setting may not be very different from your written presentation, which details everything you know about your patient. Oral presentations on work rounds will be considerably shorter, however. Inpatient presentations may differ in style from those in the outpatient setting.

This course teaches the focused, problem-based inpatient case presentation given on work rounds, where a premium is placed on brevity and clinical decision-making.

Aquifer Oral Presentation Skills includes several modules that provide a clear course to building key oral communication skills.

  • Oral Presentation Skills 01: Introduction
    The primer reviews the organization of an oral presentation, particularly those in the inpatient setting, with examples offered for clarification of each section. The examples introduce clinical reasoning concepts which should ultimately guide the presentation.
  • Oral Presentation Skills 02: What is Pertinent
    This exercise involves identifying pertinent information based on varying chief complaints for both initial presentations and for follow-up progress reports.
  • Oral Presentation Skills 03: Assessment and Plan Exercise
    This exercise involves critiquing three audiotaped versions of an assessment and plan for the case. These examples include both model behavior and common mistakes.
  • Oral Presentation Skills 04: 4-month-old male with trouble breathing
    This virtual patient case presents Teddy, a four-month old with trouble breathing. Students are asked to build an oral presentation step by step as they work through the case through a combination of data-gathering, organizational and clinical reasoning exercises.